Donald R Peven, MD

Primary specialty

Anatomic Pathology & Clinical Pathology PhysicianTaxonomy code 207ZP0102X

License

048568 Issued in MI

Practice address

44405 Woodward Ave
St Joseph Mercy Hospital
Pontiac, MI 48341-2985

Phone

(248) 858-3190

Fax

(248) 858-3148

NPI assigned

Jul 3, 2006

Last updated

Jul 19, 2007By the provider in NPPES

Sex

Male

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in MI

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 1

Specialty

Pathology

Education

University of Michigan Medical School, 1981

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Northwest Pathology Consultants PCGroup PAC ID 3678502671, 5 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Trinity Health Oakland Hospital Hospital, Pontiac, MI, CCN 230029

Merit-based Incentive Payment System (MIPS)

Final score

82.5 of 100Reported as group

Quality

65

Improvement activities

40

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: dpeven1144450@direct.hfhs.org

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Northwest Pathology Consultants PC

  • Anatomic Pathology & Clinical Pathology Physician
  • Pontiac, MI
  • NPI 1942254909
  Medicare reassignment Care Compare group NPD
• Yourpathologist PLLC

  • Anatomic Pathology & Clinical Pathology Physician
  • Garden City, MI
  • NPI 1437907516
  Medicare reassignment NPD
• Mercy Pathology

  • Anatomic Pathology & Clinical Pathology Physician
  • Port Huron, MI
  • NPI 1912214024
  NPD
• St. Joseph Mercy Hospital Crna Group

  • Certified Registered Nurse Anesthetist
  • Pontiac, MI
  • NPI 1568493047
  NPD
• Mainwaring Pathology Group PC

  • Anatomic Pathology & Clinical Pathology Physician
  • Dearborn, MI
  • NPI 1326008699
  NPD (past)
• Northwest Pathology Consultants PC

  • Oral and Maxillofacial Pathology Dentistry
  • Pontiac, MI
  • NPI 1659082402

  Anatomic Pathology & Clinical Pathology

  NPD (past)

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

• St Joseph Mercy Hospital-SMHC

  dba St Joseph Mercy Oakland

  • General Acute Care Hospital
  • Pontiac, MI
  • NPI 1053356352
  Care Compare affiliation

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1151884800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1184803200000",
    "number": "1275563769",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 55-114",
            "city": "DETROIT",
            "state": "MI",
            "postal_code": "48255",
            "telephone_number": "248-858-3190",
            "fax_number": "248-858-3148"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "44405 WOODWARD AVE",
            "address_2": "ST JOSEPH MERCY HOSPITAL",
            "city": "PONTIAC",
            "state": "MI",
            "postal_code": "483412985",
            "telephone_number": "248-858-3190",
            "fax_number": "248-858-3148"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PEVEN",
        "first_name": "DONALD",
        "middle_name": "R",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-07-03",
        "last_updated": "2007-07-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207ZP0102X",
            "taxonomy_group": "",
            "desc": "Pathology, Anatomic Pathology & Clinical Pathology",
            "state": "MI",
            "license": "048568",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "4357705",
            "state": "MI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Petals of Life
• Nessetina Peters
• Paul Primo Petrucci, RPH
• Julie E Petrusha, BSW
• Shawntrelle Contessa Pettiford, LLMSW
• PGH Medical Group PC
• Santosh Muktesh Phadke, MS PHARMACOLOGY
• Andrew Pham, MD
• Brandon Quach Pham, DO
• Duc Duy Pham, DDS

• Anatomic Pathology & Clinical Pathology Physician in Pontiac, MI
• Providers in Pontiac, MI by specialty
• Anatomic Pathology & Clinical Pathology Physician in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 19, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.